ASGE/JGES Advanced ESD (On-demand)| July 2023-Performing More Complex ESD in Practice

Video Transcription

Video Summary

The video discusses various tips and tricks for performing complex endoscopic submucosal dissection (ESD) procedures. The speaker mentions the importance of having mentors and listening to their advice. The definition of difficult ESD varies depending on factors such as dissection time, resection rate, and complications. Various anatomical indicators of difficult ESD are discussed for the stomach, esophagus, and colon. Different scoring systems are introduced to classify difficult lesions. The speaker emphasizes the importance of knowing the different knives and their benefits, as well as understanding electrocautery settings. Traction techniques, positional changes, hemostasis techniques, and perforation management are discussed as important aspects of performing complex ESD. The speaker gives tips on assessing lesions beforehand, changing positions during the procedure, and timing the procedure appropriately. The importance of teamwork, equipment availability, and continuous learning is also highlighted. The video concludes with the speaker sharing her personal journey in becoming proficient in ESD.

Asset Subtitle

Amrita Sethi, MD, MASGE

Keywords

endoscopic submucosal dissection

difficult ESD

scoring systems

knives

traction techniques

perforation management